Individual provider Active NPI

Hannah Montanye, PA-C

  • Physician Assistant
  • Kailua Kona, HI
National Provider Identifier
1083258222
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AMD-1053 Issued in HI
Practice address
75-5870 Walua Rd
Kailua Kona, HI 96740-1392
Phone
(808) 323-3107
Fax
(808) 323-0012
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AMD-1053 HI Primary

Addresses

Primary practice location

75-5870 Walua Rd
Kailua Kona, HI 96740-1392

Mailing address

75-5870 Walua Rd
Kailua Kona, HI 96740-1392
Phone (808) 323-3107

Other practice location 1

81-6587 Mamalahoa Highway
#C201
Kealakekua, HI 96750-8133
Phone (808) 323-3107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210618001610 HI Practitioner - Physician Assistant 2961802558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hosanna LLCGroup PAC ID 7416997804, 6 clinicians

Practice addresses (Care Compare)

75 -5870 Walua Rd
Suite 200
Kailua Kona, HI 96740-1392
Phone (808) 323-3107

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AMD-1053HIMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: hannah.montanye@59066133643268.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1083258222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5870 WALUA RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401392",
            "telephone_number": "808-323-3107",
            "fax_number": "808-323-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5870 WALUA RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401392",
            "telephone_number": "808-323-3107",
            "fax_number": "808-323-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81-6587 Mamalahoa Highway",
            "address_2": "#C201",
            "address_purpose": "LOCATION",
            "city": "Kealakekua",
            "state": "HI",
            "postal_code": "967508133",
            "country_code": "US",
            "telephone_number": "808-323-3107",
            "fax_number": "808-323-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANYE",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.